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Immediate Management of Type A and Type B Aortic Dissection

Cardiology Emergency medicine Surgery & trauma Definition and Pathophysiology Aortic dissection is a major form of acute aortic syndrome (AAS), alongside intramural haematoma, penetrating atherosclerotic ulcer…

Spirometry

…abdominal or thoracic surgery 1 month Neurosurgery or an intracranial aneurysm Contact the responsible specialist An aortic aneurysm 6 cm Relative — avoid forced manoeuvres An…

Atrial fibrillation: ECG, classification, causes, risk factors & management

…Atrial fibrillation with onset during hyperthyroidism (thyrotoxicosis), alcohol overdose, thoracic surgery, acute myocardial infarction, pericarditis/myocarditis or pulmonary embolism is often a reversible arrhythmia with…

Cardiac arrest due to pneumothorax

CPR Pneumothorax Pneumothorax is characterized by the presence of free air in the thoracic cavity. While this can occasionally be benign and manifest even in…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…These disruptions may initiate or complicate the haematoma. IMH most frequently involves the descending thoracic aorta, which is affected in approximately 60%–70% of cases…

Cardiac tamponade causing cardiac arrest

…injuries to the mediastinum can cause tamponade. Post operative Complications : Post surgical complications following thoracic procedures can cause tamponade. Tamponade with swinging heart of the…

Performing Echocardiographic Examinations

…left lateral decubitus position. In this position, the heart comes closer to the thoracic wall, with less lung tissue covering the heart. Some images in…

Right ventricular hypertrophy (RVH): ECG criteria & clinical characteristics

…less sensitive with respect to RVH, because the right ventricle is difficult to visualize clearly with trans thoracic echocardiography. Causes of right ventricular hypertrophy Lung…

Pleural aspiration and chest drain

…syringe, a three way tap. Therapeutic aspiration: a commercial aspiration set or a 6–8 F pigtail catheter, a drainage bag or a vacuum bottle…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…however, emphasize that symptoms and vital signs contribute to initial triage and that alternative cardiac and thoracic diagnoses must be considered. The immediate clinical categories…

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